Organization
JOSEPH C LUTKA JR.
Active
Other names
Burleson Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH CHARLES LUTKA JR. LVN (OWNER/ PRESIDENT)
(817) 426-9355
Entity
Organization
Contact information
Practice address
113 N SCOTT ST, BURLESON, TX 76028-3924
(817) 426-9355
(817) 426-9357
Mailing address
113 N SCOTT ST, BURLESON, TX 76028-3924
(817) 426-9355
(817) 426-9357
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LVN
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1839078
—
TX
Enumeration date
02/22/2008
Last updated
07/18/2008
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